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Student Name:
Parent Name:
E-Mail:
Address:
City/State/Zip:
Home Phone:
Cell Phone:
Grade Level:
- Select School Grade Level -
9
10
11
12
PSAT/SAT score if applicable:
Math:
Verbal:
Essay:
I would like to register for:
- Select Class -
SAT Prep Class($500/class)
Group Tutoring(up to 4 students; pricing depends on # of students)
One-on-One Private Tutoring($60/hr)
How did you hear about us:
Questions or Comments:
Payment Due in full upon first day of class.
Please make checks payable College Prep Plus Inc.